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:�. <br />.W � <br />� ;;T <br />�U$�ic wo�Ks <br />PERMIT <br />PUkiLIC WORKS DEPARTMENT <br />3200 Cedar Sireet <br />Fveren, WA 98201 <br />(425) 257-BB10 <br />ANDADDRESS: $HI1! 14IF.F. <br />0402 BF:OA6L'AY <br />Lt�'.RETT Ax 98203 <br />PHONE' ,]Z5�(J'jleQq <br />TAX PARCEL I.D.N <br />DESCRIPlION OF <br />PROPOSED WORK: <br />.iCANT NAME <br />nooaess: <br />PHONE: <br />IPRQIECTAODRESS: <br />00393900601501 <br />NE41 ESPRESSO STANb <br />PERMIT CONDITIONS <br />Da10 <br />Puvlic Works Permit a <br />Building Permit s <br />Planning Reference A' <br />Public Works Fee S <br />Guarentee 5 <br />Qz, iin�.':iiriE <br />ywnF,n?_nn5 <br />rz�� <br />ca��3 -�='q <br />ci_,,i�i� <br />1. All calls for inspection shall be made 2d hours in advance. <br />2. All work shall be pertormed in acwrdance wilh Ihis permil and current City ot Everelt Design and Construction <br />Standards and SpeciPcations. <br />3. Call Location Undergmund Service 48 hrs. belore you dig. TOLL FREE NUMBER 1-800•424-5555 <br />4. =:.L:. ,y.,,:irant _�;.:! �;nit3cv �e�v:e r,ust nct t,r c,t�atru�,*_.� <br />TQ POSTING `%�� �% �e� <br />,_. ,.� .- � , <br />��������'�"� <br />o r�s [�,�,.y <br />� <br />� <br />� <br />., <br />�� <br />�, N o�, p <br />L.I�MQII-��(A1NM(,,+1Nep � <br />yqU,�1�O�F�GL�L•1 <br />:��r��������':� <br />� <br />W <br />� <br />V+ <br />W <br />O <br />� <br />Z <br />O <br />V/ <br />0 <br />a <br />— ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner/applirant hereby agrees to hold and <br />i ���' save harmless Ihe Ci�y ol Everett Irom any and all claims lor <br />App �d lor ConsWdion ' ale damages, cosls, ezpensos, or causes of action that may arise <br />because oi installalion and mainDanance ol the improvement or <br />yi „�' ulher nghbo�-way use hereto ap�lied for and ludher agrees to <br />� remova same upon notice Irom :he City antl to replace public <br />INSPECTION pf erty damaged Ihere . <br />Approvetl as Conslrucletl Dale <br />G- z�.o�S �— �� �'I�- o � <br />ignaWreolApplicanl Date <br />WORK AUTHORIZEO 6V 7HIS PERMIT MUST BE S7ARTED WITHIN 1B0 DAVS OF DATE PE(iMIT IS ISSUED AN� THEREAFTER IS TO DE DILIGENTLV PURSUEG <br />TO COh1PlETION. THIS P[RMIT h7AY B[ CANC[LLED l3v THE CITY UPON ANY STOPPAGE OF WORK ON THIS PR0.1EC70VER 90 DAVS DUPATION. <br />[PAYP p Onl �ATABRR. ING <br />